Healthcare Provider Details

I. General information

NPI: 1396465688
Provider Name (Legal Business Name): CROSSING CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 05/25/2024
Certification Date: 05/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 S MILITARY TRL STE 108
LAKE WORTH FL
33463-2133
US

IV. Provider business mailing address

3141 S MILITARY TRL STE 108
LAKE WORTH FL
33463-2133
US

V. Phone/Fax

Practice location:
  • Phone: 561-202-8896
  • Fax: 561-202-8897
Mailing address:
  • Phone: 561-202-8896
  • Fax: 561-202-8897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JUPITER FLEURIMON
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 561-574-9087